Male Death Registration: Year: 1971 number: 5640
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005640
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Pleasant Rest Home
3. PRINT NAME OF DECEASED Joudrey, Clarence Ray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 15, 1897
10. AGE in Years74 Months1 Days2 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Deceased
16. NAME of Father Levi Joudrey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Louisa Ramey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Seldon Smith
address 44 St. Phillips Street, Bridgewater, Lunenburg Co., NS
Relationship to deceased
21. Place of burial Bridgewater, Lunenburg Co., NS
Date of burial 19 September 1971
22. Undertaker Charles Sweeney, Bridgewater, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 17, 1971
CAUSE OF DEATH
(a) Cancer of Recto-Sigmoid
(b) Metastases from Cancer of Rectum
(c)
other Prostate Enlargement - Urethral Structure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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